HomeMy WebLinkAbout631 CALIFORNIA AVENUE_HMBP DATE UNKNPrevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST y A s.R S E, 900 Truxturt Ave., Suite 210
FIRE Bakersfield, CA 93301
SECTION 1:: Business 'Plan and Inventory Program °. ARTM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
❑
APPROPRIATE PERMIT ON HAND
❑ ❑
Business PLAN CONTACT INFORMATION ACCURATE
ADDRESS
PHONE N0.
NO OF EMPLOYEES
Cod (4"N
6o
f/
'�-?
FACILITY CONTACT ,�
BUSINESS ID NUMBER
J G
15 -021-
e v i '1
8`ectton 1 Business Pl'a -and Inventoary Prog ram
e
A
❑ ROUTINE ❑� COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINTS ❑ RE- INSPECTION
C v
C=Compliance) OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
❑ ❑
Business PLAN CONTACT INFORMATION ACCURATE
2( ❑
VISIBLE ADDRESS
I{4 ❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
b •�
❑ ❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
VA
❑
EMERGENCY PROCEDURES ADEQUATE
EK ❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
FIRE PROTECTION
❑ ❑
SITE DIAGRAM ADEQUATE & ON HAND
Mu !!Ii V
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector (Please Print) Fire Prevention / 1" In / hift of Site /Station # 4,SKLn es sponsible arty (y P
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05